> The Department of Education will send letters to 387,000 people they’ve identified as being eligible for a total and permanent disability discharge, a designation that allows federal student loan borrowers who can’t work because of a disability to have their loans forgiven.
I'm relatively certain these people will not be required to submit a doctor's written diagnosis of whatever causes their total and permanent disability.
It will probably be more like the gov sends a form to a list of people (aggregated somehow), and if they fill it out and return it, then they get to legally avoid their loan obligations.
Of course, those are the standards/rules/regulations, but knowing the vast corruption within the US .gov, what actually happens is probably a different story.